Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures: A Paradigm Shift
We designed, implemented, and revised the Brigham Fracture Intervention Team (B-FIT) initiatives to improve in-hospital care of fracture (Fx) patients. Effectiveness was evaluated for 181 medical records of 4 cohorts in four successive years of consecutive patients who were admitted with a fragility...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2010/590751 |
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| author | Julie Glowacki Mitchel B. Harris Josef Simon John Wright Nikheel S. Kolatkar Thomas S. Thornhill Meryl S. LeBoff |
| author_facet | Julie Glowacki Mitchel B. Harris Josef Simon John Wright Nikheel S. Kolatkar Thomas S. Thornhill Meryl S. LeBoff |
| author_sort | Julie Glowacki |
| collection | DOAJ |
| description | We designed, implemented, and revised the Brigham Fracture Intervention Team (B-FIT) initiatives to improve in-hospital care of fracture (Fx) patients. Effectiveness was evaluated for 181
medical records of 4 cohorts in four successive years of consecutive patients who were admitted
with a fragility hip Fx. The Discharge Initiative (DI) (computer-based) includes 1200 mg calcium and
1000 IU vitamin D3 daily. The Admission Initiative (AI) was introduced one year later with
reminders for serum 25OHD measurement, initiation of daily calcium (1200 mg) and vitamin D (800 IU), and an order for Endocrinology consultation, with an amendment for a computer-assisted
reminder and a dose of D2 (50 000 IU). Initially, the computer-based DI was more effective (67%)
than the surgeon-driven AI (33%, 𝑃<.001). After introduction of a computer-assisted reminder, AI
effectiveness increased to 68%. The marked prevalence of vitamin D insufficiency reaffirms the
importance of incorporating vitamin D recommendations in Fx care pathways. |
| format | Article |
| id | doaj-art-e516b4b8a38b4843b2232558a21d38ef |
| institution | Kabale University |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-e516b4b8a38b4843b2232558a21d38ef2025-02-03T01:20:58ZengWileyInternational Journal of Endocrinology1687-83371687-83452010-01-01201010.1155/2010/590751590751Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures: A Paradigm ShiftJulie Glowacki0Mitchel B. Harris1Josef Simon2John Wright3Nikheel S. Kolatkar4Thomas S. Thornhill5Meryl S. LeBoff6Departments of Orthopedic Surgery and Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USADepartments of Orthopedic Surgery and Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USADepartments of Orthopedic Surgery and Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USADepartments of Orthopedic Surgery and Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USADepartments of Orthopedic Surgery and Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USADepartments of Orthopedic Surgery and Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USADepartments of Orthopedic Surgery and Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USAWe designed, implemented, and revised the Brigham Fracture Intervention Team (B-FIT) initiatives to improve in-hospital care of fracture (Fx) patients. Effectiveness was evaluated for 181 medical records of 4 cohorts in four successive years of consecutive patients who were admitted with a fragility hip Fx. The Discharge Initiative (DI) (computer-based) includes 1200 mg calcium and 1000 IU vitamin D3 daily. The Admission Initiative (AI) was introduced one year later with reminders for serum 25OHD measurement, initiation of daily calcium (1200 mg) and vitamin D (800 IU), and an order for Endocrinology consultation, with an amendment for a computer-assisted reminder and a dose of D2 (50 000 IU). Initially, the computer-based DI was more effective (67%) than the surgeon-driven AI (33%, 𝑃<.001). After introduction of a computer-assisted reminder, AI effectiveness increased to 68%. The marked prevalence of vitamin D insufficiency reaffirms the importance of incorporating vitamin D recommendations in Fx care pathways.http://dx.doi.org/10.1155/2010/590751 |
| spellingShingle | Julie Glowacki Mitchel B. Harris Josef Simon John Wright Nikheel S. Kolatkar Thomas S. Thornhill Meryl S. LeBoff Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures: A Paradigm Shift International Journal of Endocrinology |
| title | Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures: A Paradigm Shift |
| title_full | Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures: A Paradigm Shift |
| title_fullStr | Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures: A Paradigm Shift |
| title_full_unstemmed | Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures: A Paradigm Shift |
| title_short | Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures: A Paradigm Shift |
| title_sort | brigham fracture intervention team initiatives for hospital patients with hip fractures a paradigm shift |
| url | http://dx.doi.org/10.1155/2010/590751 |
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